Blue Choice Preferred Silver PPO℠ 801 – Rx Copay – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay
Showing 17–32 of 218 results
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Blue Precision Bronze HMO℠ 205 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $105 copay
Urgent care visit: $105 copay -
Blue Precision Bronze HMO℠ 708 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Blue Precision Gold HMO℠ 207 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Blue Precision Gold HMO℠ 703 – Rx Copays – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Blue Precision Gold HMO℠ 707 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Blue Precision Silver HMO 704℠ – Rx Copays – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $100 copay
Specialist visit: $130 copay
Urgent care visit: $130 copay -
Blue Precision Silver HMO℠ 206 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
Blue Precision Silver HMO℠ 706 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
BlueCare Dental℠ 1A – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
BlueCare Dental℠ 1C – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Bronze Classic – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay, 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Bronze Classic 4700 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay -
Bronze Classic PCP Saver – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Bronze Classic Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Elite + PCP Saver Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $75 copay